Welcome to Kansas State University Counseling Services (KSU-CS)
If you need assistance in completing this form, we recommend that you not complete the online form and instead come into the Counseling Services Office during regular office hours. Our staff will be happy to assist you. This on-line registration is provided through a secure server. Once you complete and submit the on-line form, you will be contacted by e-mail or by phone to verify that we had received your materials and to encourage you to phone our office to schedule an appointment. If you do not hear from us within 3 days please call our office, as we have likely encountered technical difficulties. |
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About Online Registration for Counseling Services We want to introduce you to our procedures at KSU Counseling Services. Please make sure that you read and understand the following information about our services. If you have questions after reading this statement, please contact us by email at counsel@ksu.edu or by phone at 785-532-6927. WHAT CAN
I EXPECT? HOW WILL
MY COUNSELOR BE ASSIGNED?Typically,
the counselor who will see you for the consultation session will be
assigned by matching your schedule to the first available counselor.
When you phone our office to schedule your first appointment, please
let us know if you have a special request (a particular gender, specialty,
or a counselor you have seen previously) and we will attempt to accommodate
your request. HOW MUCH WILL COUNSELING COST? When services are
appropriate at KSU-CS, the following small fees will be charged: WILL MY INSURANCE COVER KSU-CS SERVICES? Your insurance may not cover some of the services provided here. We encourage you to check with your insurance carrier regarding coverage for our services once a treatment plan is decided. If you do decide to submit your KSU-CS bills for insurance reimbursement, please discuss this with your counselor; we will provide needed information for you to submit any claim. Please keep in mind that we do not submit insurance materials for you. CONFIDENTIALITY Counseling is a confidential service. Anything you say to a counselor, the fact that you used services, or test results, will not be disclosed to other persons, departments, or agencies within or outside of the university without your written permission within legal limitations. No information about counseling goes on your academic record. There are some legal limits to confidentiality; we are required to report
STANDARDS The Counseling Service, the pre-doctoral psychology internship program, and the professional staff adhere to the ethical code of the American Psychological Association. All licensed professional staff are also bound by the regulations outlined by the Kansas Behavioral Sciences Regulatory Board. SUPERVISION AND RECORDING The Counseling Service is an agency accredited by the American Psychological Association as a training site for pre-doctoral psychology interns. As such, it is the agency commitment to assure the highest quality of service through supervision of all trainees by senior staff who are licensed psychologists. Supervision may include the recording of sessions and on some occasions a supervisor being present for a session as a consultant. Any recording that is done is viewed only by the supervisor and will be erased after review. If you have any questions or concern about the supervision process you may inform the receptionist at the time your appointment is made. The receptionist may be able to clarify questions or will put you in contact with a counselor to respond or make adjustments in your appointment to satisfy your needs. Submitting this registration will assume your consent unless you later express exception to this procedure. You may also use our printable form to print a more detailed hard copy of this information to keep and read later. At the time of your first appointment, you will be asked to sign a similar form.
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The following form is two pages; it will take approximately 10 minutes to complete the required information. Please allow yourself adequate time to complete the forms before submitting. However, if you need assistance to complete the form, you are welcome to come into the office; our staff will be happy to help. ON THE FIRST PAGE OF THE FORM, PLEASE BE SURE TO ENTER YOUR 9-DIGIT SOCIAL SECURITY NUMBER. This may be different than your KSU ID # and is your unique identifier for health/mental health agencies. As a mental health agency, we need to communicate at times with other heatlh services and/or insurance companies. The social security number is used to validate your identity for such mental health/medical purposes and is kept, as all information at this agency, under strict confidency and security. ONCE YOU BEGIN TO ENTER INFORMATION IN THE FORM, DO NOT USE THE BACK BUTTON. PLEASE CHECK YOUR INFORMATION ON EACH PAGE BEFORE YOU MOVE ON TO THE NEXT PAGE. If you use the back button, and then try to move forward again, you will be kicked out of the form and will need to start again. |
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